Non-invasive index for predicting significant liver fibrosis: Comparison of diagnostic performances in patients with chronic hepatitis B and C

Jae Youn Cheong, Soon-Ho Um, Yeon Seok Seo, Dong Joon Kim, Seong Gyu Hwang, Youn Jae Lee, Mong Cho, Jin Mo Yang, Young Bae Kim, Young Nyun Park, Sung Won Cho

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9 Citations (Scopus)

Abstract

Background/Aims: The majority of non-invasive markers of liver fibrosis have been developed in patients with chronic hepatitis C. We aimed to develop a formula for predicting significant fibrosis in patients with chronic viral hepatitis and to compare the usefulness of published models derived from the data obtained from patients with chronic hepatitis C. Methods: Serum markers and the METAVIR stage of fibrosis in liver biopsy specimens were compared prospectively in patients with chronic hepatitis B and C (estimation set, 367; validation set, 159). Results: In the estimation set, multiple forward stepwise logistic regression analysis identified γ-glutamyl transpeptidase, haptoglobin, α2-macroglobulin, matrix metalloproteinase-2, and tissue inhibitor of metalloproteinase-1 as independent predictors of significant fibrosis. A formula termed the SF index was constructed with the aforementioned five variables. The areas under the receiver operating characteristic curves of the SF index for predicting significant fibrosis were 0.828, 0.776, and 0.827 in the estimation, validation, and total sets, respectively. Using cut-off scores of 2.2 and 3.3, significant fibrosis was predicted with considerable accuracy. The diagnostic performances of the SF index and the Zeng index derived from chronic hepatitis B patients were much better than indices derived from chronic hepatitis C patients, such as the APRI, Forns index, and FIB-4. Conclusions: We developed a novel formula for predicting significant fibrosis in patients with chronic viral hepatitis. Serum indices from studies in patients with chronic hepatitis C were less accurate in patients with chronic hepatitis B for predicting significant fibrosis.

Original languageEnglish
Pages (from-to)555-563
Number of pages9
JournalDigestive Diseases and Sciences
Volume56
Issue number2
DOIs
Publication statusPublished - 2011 Feb 1

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Keywords

  • Chronic hepatitis
  • Fibrosis marker
  • Liver fibrosis

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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